Individual provider Active NPI

Jennifer Carmen Widener, FNP-C

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1568802338
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170943 Issued in VA
Practice address
389 Falls Dr NW
Abingdon, VA 24210-8093
Phone
(276) 623-0740
Fax
(276) 623-0660
NPI assigned
Jun 26, 2013
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170943 VA Primary

Addresses

Primary practice location

389 Falls Dr NW
Abingdon, VA 24210-8093

Mailing address

389 Falls Dr NW
Abingdon, VA 24210-8093
Phone (276) 623-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000154 VA Practitioner - Nurse Practitioner 7214170786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William M Handy MD PC CurrentSince Jul 9, 2013 Accepting new patients

Locations

389 Falls Dr NW
Abingdon, VA 24210
Phone (276) 623-0740

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1568802338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-623-0740",
            "fax_number": "276-623-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-623-0740",
            "fax_number": "276-623-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "JENNIFER",
        "middle_name": "CARMEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.